HomeMy WebLinkAboutR 2013-055 AMS - Thomas C Blalock JR Blalock's Towing and Recovery $N/A ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the legal review process prior to being routed for signature.
Department
Party/Vendor Name: Thomas C.Blalock,Jr. DBA Blalock's Towing and RecoveryL Party/Vendor Contact Person: T.C.Blalock
Contact Phone:919-732-8026 Party/Vendor Address:3504,NC 86 South City Hillsborough State:NC Zip:27278 Department:AMS
Amount:N/A Purpose:Towing of illegally parked vehicles on County proper ,Budget Code(s):N/A Vendor#41572 (N/A if new
vendor) Vendor is a BOCC consultant? Yes❑Noo Contract Type:(Check one)New 0 Renewal ❑ Amendment ❑ Effective
Date March 1,2013 Approved by Board Yes❑NoE Agenda Date:N/A Title of Contract: Towing
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑NoE. If submitted for bid were
bids/RFPs received Yes❑NoZ Bid/RFP number N/A This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date:
IT Di ctor
(Applicable only to hardwarelsoftware purchases or related services) is ontract has been reviewed and approved by the Information
I
Technology Director as to technical content and information technolyopecifications:
IT Director's Signature: Date:
Risk Magagement
Include the following coverages: [j(CGL; (2 Auto; [Rrwc; [5 Professional; 0 Property; OR No Insurance Require El. Hold
Contract pending receipt of Certificate of Insurance ❑. With incorporation of Insurance provisions as shown,this contract is approved
by the Risk Manager:
Risk Manager's Signature: Date: I 1,3
Financial Services
This Contract is conditioned No
conditioned appropriation by the Board of Commissioners YesEl Ed A budget amendment is necessary
before approval Yes❑No If budget amendment is necessary,please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Act:
Financial Services Director's Signature: � JI—_ Date: 71 t4ij
County Attorney
Approval by Board ❑ (Contracts $90,000.00 jor more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approval by Manager (Most other contracts$1,000 and above). Department Director approval only❑ (Under
S1,000). This contract has been reviewed approved by the Attorney as to legal form and sufficiency:
Attorney's Signature Date:,,i—o—/3_
County Manager I
This contract has been reviewed and is approved by the Co my Manager Yffllo❑.
This contract has been reviewed and is for signature lheEair Yes❑No
Manager's Signature: Date:2 2
Clerk to the Board
Approved by BOCC on the_day of 20 . Submitted for Chair signature on the day of 20__.
Clerk's Signature: Date:._
Revised March 2012